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本文回顾我科422例分化型甲状腺癌,发现根治术后对侧腺叶复发癌30例,复发率为7.1%。复发时间平均为7.5年;肿瘤较大(>2cm)、颈部淋巴结有转移者,复发机会较大。部分小肿瘤(<2cm)也可发生复发,可能存在多中心灶之故。复发后再次手术治疗仍具有较好的预后。
This article reviews 422 cases of differentiated thyroid cancer in our department and found that 30 cases of recurrent cancer of the contralateral gland after radical resection have a recurrence rate of 7.1%. The average time to recurrence was 7.5 years; tumors were larger (>2cm), there were metastases in the lymph nodes of the neck, and there was a greater chance of recurrence. Some small tumors (<2cm) may also have recurrences, which may have multiple central lesions. Reoperation after recurrence still has a good prognosis.